1. Managing risks at the
human-animal-ecosystems
interfaces
‘One Health and the Hyogo Framework
for Action’
David R Harper

2. 'One Health'
 A movement with considerable momentum
 Recognizes essential link between the health
of humans, and animals and ecosystems
 Involves a coordinated, collaborative, multi-
sectoral and multi-disciplinary approach at
the human-animal-ecosystems interfaces
2| Health Security Preparedness Team | September 6, 2012

3. Working together: the Tripartite
 FAO, OIE and WHO working together to address issues at
the human-animal-ecosystem interfaces
 Recognizes that the interaction between animals, humans,
and ecosystems impacts, inter alia, on public health and
global health security
 Collaborative and complementary efforts
3| Health Security Preparedness Team | September 6, 2012

4. Concept Note
 Co-signed by the three
Executive Heads of FAO,
OIE and WHO in 2010
 Complementary agenda
and new synergies in:
– normative work
– public communication
– pathogen detection,
risk assessment and
management
– technical capacity building
– research and development
4| Health Security Preparedness Team | September 6, 2012

5. Vision
"A world capable of preventing, detecting, containing,
eliminating, and responding to animal and public
health risks attributable to zoonoses and animal
diseases with an impact on food security through
multi-sectoral cooperation and strong partnerships"
5| Health Security Preparedness Team | September 6, 2012

6. Strategic alignment
 Promoting strong  Promoting collaboration
partnerships
 Joint framework to address
 Coordination to avoid gaps and strengthen
duplication of efforts collaboration in laboratory
activities
 Strengthening animal and
human health institutions  Alignment and coherence of
global standard setting
 Improvement of governance, activities
infrastructure and capacity
building  Effective strategies for
improving national, regional
and community level
pandemic preparedness and
response
6| Health Security Preparedness Team | September 6, 2012

7. High Level Technical Meeting (HLTM)
 Convened by the Government of Mexico, FAO, OIE and
WHO (15-17 November 2011)
 100 participants from the human and animal health,
agriculture and environmental sectors, international
technical experts, and regional and donor organisations
and partners
 AMR, zoonotic influenza, and rabies used as ‘entry points’
for discussions
 http://www.hltm.org/
7| Health Security Preparedness Team | September 6, 2012

8. HLTM: key messages
 High-level political will, trust among stakeholders, cultural
and behavioural changes, and financial support are needed
to establish multi-sectoral approaches
 Strong governance structures and aligned legal frameworks,
building on existing mechanisms, are essential to achieving
effective disease surveillance and response
 Communication is crucial to ensuring multi-sectoral
coordination
 Actions and activities must address institutions and
infrastructure at local, national, regional and international
levels
8| Health Security Preparedness Team | September 6, 2012

9. Tripartite and 'One Health'
 Promoting and facilitating multi-sectoral, multi-disciplinary
relationships and collaborations to support animal and
human health internationally and with Member States
 Supporting governance, and systems required for disease
prevention, detection and control
9| Health Security Preparedness Team | September 6, 2012

10. Tripartite and Hyogo
 Tripartite  Hyogo
– governance – governance
– assessment, surveillance – assessment, monitoring and
and early warning early warning
– educational curricula – knowledge and education
– capacity building – reduce underlying risks
– strategies for pandemic – preparedness and response
preparedness and response
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11. Global challenge
 Public health emergencies start for many
reasons:
– infectious disease outbreaks
• SARS, pandemic influenza ….
– contaminated food or water
• E. coli food contamination in Europe ….
– environmental and technological hazards
• chemicals, radio-nuclear incidents ….
– natural or man-made humanitarian disasters
• earthquakes, floods, deliberate use of biological
agents, conflict, migration ….
11 | Health Security Preparedness Team | September 6, 2012

12. What is needed?
 Greater emphasis on preparedness
– Political commitment is imperative
 Implementation of existing frameworks and initiatives as
main approach to strengthen capacity systematically
– IHR, PIP Framework, health systems strengthening, HFA …..
 Greater multi-sectoral, ‘whole-of-society’ and ‘whole-of-
government’ engagement
 Greater country collaboration
– IHR monitoring, sharing procedures and resources
12 | Health Security Preparedness Team | September 6, 2012

13. Preparedness
 Need to focus on strengthening those capabilities that are
broadly essential for all emergencies
– from infectious diseases such as pandemic influenza through
to natural disasters ….
 Need to prioritize specific risks and ensure preparedness by
focusing where necessary on unique aspects
– for example, pandemic vaccine, severity, phases ….
13 | Health Security Preparedness Team | September 6, 2012

14. Preparedness, surveillance and response
 WHO Twelfth General Programme of Work (2014-2019)
CATEGORIES
1 2 3 4 5
Communicable Noncommunicable Health through Health systems Preparedness,
diseases (HIV, diseases the life course surveillance and
TB, malaria) response
 Preparedness, Surveillance and Response has to be:
Comprehensive Multi-sectoral
All-hazard Sustainable
14 | Health Security Preparedness Team | September 6, 2012

15. Conclusions
 WHO is working with sister organizations on action plan to
follow Tripartite Concept Note
 Developing a generic, all-hazards approach, which is
multi-sectoral and multi-disciplinary
 Supporting our Member States to follow through on
existing frameworks and initiatives wherever we can –
strong platform
 WHO remains fully committed to an active and
constructive role with all partners
15 | Health Security Preparedness Team | September 6, 2012